1. Seminar #3-Medical Coding
Welcome, during the seminar, the chat feature will be disabled so that I am able to complete my agenda for the evening! Be sure to have your AMA CPT coding manual out for tonight! I will answer questions at the end. Thanks, Professor Campbell

2. Week 3 Radiology, Pathology, Medicine
Discussion, Reimbursement Rules, 30 Points
Exercises, Challenge exercises, 40 points
Seminar, Attend Seminar or complete Option 2, 20 points

3. Radiology 7xxxx codes Subsections Main term
Diagnostic radiology (diagnostic imaging)
Diagnostic ultrasound
Radiation oncology
Nuclear medicine
Main term
X-ray, CT, etc.

4. Professional/Technical Components
UB-04 Claim Form
Own equipment
Hire technicians
Supplies
Professional component (Modifier 26)
CMS-1500 Claim Form
Supervise process
Read and interpret films

5. Case 1
Complete x-ray (four views) of the mandible. How should the images taken be reported?
70110

6. Case 2
Contrast-enhanced images of the patient's lower left leg using computerized axial tomography. How should the images taken be reported?
73701-LT (technical component)

7. Case 3
MRI of HEART: A complete view of the heart and cardiac structures reviewed no abnormalities. Heart valves were normal in appearance. Cardiac function was normal. CONCLUSION: Normal imaging of the heart. How should the images taken be reported?
75557

8. Case 4
DIAGNOSTIC ULTRASOUND: The scrotum is normal in size. All tissue within appears normal. The testes are normal in appearance. The epididymis appears normal in structure. How should the images taken be reported?
76870

9. Case 5
NUCLEAR LIVER-SPLEEN SCAN: The liver is of normal size with homogeneous uptake. The spleen is enlarged and is almost the same size as the liver. There is also increased activity in the spleen. I do not see any focal areas of diminished activity, and there is no significant bone marrow uptake. CONCLUSION: Splenomegaly. How should the images taken be reported?
78215

10. Pathology and Laboratory
8xxxx codes
Subsections
Organ/disease panels
Urinalysis
Chemistry
Pathology

11. Case 1
A pregnant patient presented to her OB/GYN's office for her first trimester exam. The OB/GYN ordered the practice's standard "obstetric panel" to be performed by the OB/GYN's in-office lab. How should these lab services be reported?
80055

12. Case 2
An automated urinalysis with microscopy was performed. How should these lab services be reported?
81001

13. Case 3
Testing for triglyceride level. How should these lab services be reported?
84478

14. Case 4
In preparation for a transfusion, the lab thawed 3 units of fresh frozen plasma. How should these lab services be reported?
82947, 82947, 82947

15. Case 5
Gross and microscopic pathology examination of paranasal tissue taken during a biopsy. How should these lab services be reported?
88305

16. Medicine 90281–99607 codes Variety of services and procedures
Immunization
Psychiatry
Ophthalmology
Rehabilitative procedures
Home Health Procedures/Services
Medication Therapy Management Services

17. Case 1
A 40-year-old male patient presented for a hepatitis A and B vaccine. This was administered by the nursing staff, IM in the left arm. How should these services be reported?
90636, 90471

18. Case 2
Patient participated in a psychotherapy session for a total of 30 minutes. This session was done at a local community hospital in the mental health inpatient unit. How should these services be reported?
90816

19. Case 3
A physician took a history and performed an intermediate level eye exam (both eyes) for an established patient. The physician also wrote a prescription for glasses. How should these services be reported?
92012, 92015

20. Case 4
A physician performs a percutaneous transluminal coronary angioplasty and places one stent in the left main coronary artery. How should these services be reported?
92980, 92984

21. Case 5
IV infusion of chemotherapy drugs, two hours. How should these services be reported?
96365, 96366

22. Seminar #4-Medical Coding
Welcome, during the seminar, the chat feature will be disabled so that I am able to complete my agenda for the evening! Be sure to have your AMA CPT coding manual out for tonight! I will answer questions at the end. Thanks, Professor Campbell

23. Week 4 Reading-Chapters 4, 5 , 6, 7 and 8 in
Understanding Procedural Coding: A
Worktext
Exercises-Challenge exercises-40 points
Seminar-Seminar or complete option 2-20
points

24. Anesthesia Coding
A 74-year-old patient undergoes a total knee arthroplasty to the right knee. The anesthesiologist provides regional block as the patient’s anesthesia because of the patient’s mild COPD and diabetes. Assign the correct anesthesia code for the procedure.
01402-P

25. Integumentary System Coding
Local anesthesia was injected using 1 percent lidocaine with epinephrine 1.5 cc. Incision was made along the postauricular sulcus through the drainage point with retraction applied. A 3.0 cm sebaceous cyst was evident, and it was drained. A small bandage was placed over the incision and drainage site.
10060

26. Musculoskeletal Coding
Patient underwent closed treatment of fractured tip of the right radius at distal end, which included application of a short-arm cast.
25600-RT

27. Respiratory Coding
Patient underwent indirect endoscopy of the larynx with biopsy. The physician used a small, round mirror to examine the vocal cords, tongue, and of the throat for signs of disease or injury. Biopsy of larynx was performed for evaluation and diagnosis.
31510

28. Cardiovascular Coding
A physician drains fluid from the pericardial space for the first time. How should this service be reported?
33010

29. Questions